| NPI | 1225264096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME123635) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: FL ME123635) |
| 207ZH0000X Pathology, Hematology (Licence: FL ME123635) | |
| Enumeration Date | 2009-06-06 |
| Last Update Date | 2023-03-07 |